Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $20,892.96	Facility		$4,168.69	$10,000.00	$20,892.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,888.44 / $15,488.17	Facility		$66.07	$5,888.44	$15,488.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,202.26	Professional		$602.56	$891.25	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,819.70	Professional		$724.44	$933.25	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25,118.86 / $25,118.86 / $42,657.95	Facility		$25,118.86	$25,118.86	$42,657.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	AS	$2,511.89	$2,511.89	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,548.82	Facility		$776.25	$1,023.29	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32